Stephen Carl Mathai, MD MHS
Pulmonary Disease Physician · Baltimore, MD
Stephen Carl Mathai, MD MHS is a pulmonary disease physician with a practice address in Baltimore, Maryland, and NPI 1235242314, issued on Aug 16, 2006. Check the license (Maryland D60811, as entered in NPPES) on the Maryland Board of Physicians; the Medicare figures below come from public CMS files.
- Name
- Stephen Carl Mathai
- Credential
- MD MHS
- Primary taxonomy
- Pulmonary Disease Physician 207RP1001X
- License numbers
- D60811 MD
D0060811 MD
Self-reported in NPPES; status is on the state search - Practice location
- 4940 Eastern Ave, Baltimore, MD 21224
- Phone
- (410) 550-5864
- Enumerated
- Aug 16, 2006
- Record last updated
- Feb 12, 2013 (not updated in 13 years: call before relying on the address or phone)
- Medicaid ID
- 405712100 MD
- Medicare enrollment
- Enrolled (PECOS I20041113000097); may accept Medicare assignment
- Medical or professional school
- Jefferson Medical College Of Thomas Jefferson University, 1999
- Entity
- Type 1 · individual
8 nearest pulmonary disease physician records → All 342 in Maryland → Look up another NPI →
Also registered at 4940 Eastern Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Mona Abraham, MDStudent in an Organized Health Care Education/Training Program1245807395
- Sherifatu Abu, MDInternal Medicine Physician1093372922
Verify Stephen Carl Mathai in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMaryland Board of Physicians
Search for license D60811Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
68% fewer Medicare Part D claims than the average pulmonary disease physician in 2024
459 Medicare Part D claims for 40 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. Brand-name drugs were 39% of claims.
Most prescribed
- Ambrisentan98 claims
- Adempas60 claims
- Sildenafil Citrate40 claims
- Furosemide33 claims
- Opsumit29 claims
- Tadalafil26 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 74.4 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $38,189.30
24 payments; by number, the most common kind was travel and lodging; the largest payer was Merck Sharp & Dohme LLC. The 8,806 providers of this specialty with any payment received $5,159.88 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Johns Hopkins UniversityBaltimore, MD
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Stephen Carl Mathai among 342 pulmonary disease physician records in Maryland
Stephen Carl Mathai, MD MHS is one of 342 pulmonary disease physician records with a practice address in Maryland. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 16% of them.
- NPI issued2006 · 16% of these records are older, 42% newer
- In a Medicare fileYes · 78% of these records are
- In the CMS Doctors and Clinicians fileYes · 66% of these records are
- Graduated1999 · median 2000 among the 225 with a school on file
- Record last updated2013 · 60% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RP1001X and a Maryland practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pulmonary Disease Physician providers in Maryland
There are 342 pulmonary disease physician records in Maryland.
All 342 in Maryland → Every provider in Baltimore → Pulmonary Disease Physician nationwide →
The 8 pulmonary disease physician records with the nearest ZIP codes
- Hassan Chami, M.D.Baltimore, MD 212241497869382
- Edward Chen, M.D.Baltimore, MD 212241508816919
- Mahendra Damarla, M.D.Baltimore, MD 212241720137771
- Sonye Danoff, M.D.Baltimore, MD 212241720023534
- Michael Drummond, M.D.Baltimore, MD 212241689631541
- Christopher Earley, M.D.Baltimore, MD 212241003857384
- Bo Kim, M.D.Baltimore, MD 212241649294695
- Audrey Liu, M.D.Baltimore, MD 212241750324935
Common questions
What is Stephen Carl Mathai, MD MHS's NPI number?
Stephen Carl Mathai, MD MHS's National Provider Identifier (NPI) is 1235242314, issued on Aug 16, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Stephen Carl Mathai, MD MHS located?
The NPPES record lists a practice address at 4940 Eastern Ave, Baltimore, MD, 21224. Phone: (410) 550-5864. Providers update this record themselves, so call before visiting.
How can I verify Stephen Carl Mathai, MD MHS's license?
NPPES lists Maryland license number D60811, as entered by the provider. Search the Maryland Board of Physicians at https://www.mbp.state.md.us/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Stephen Carl Mathai, MD MHS prescribe under Medicare Part D?
In 2024, Stephen Carl Mathai, MD MHS had 459 Medicare Part D claims for 40 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.
What is Stephen Carl Mathai, MD MHS's MIPS final score?
The 2023 MIPS final score is 74.4 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.